E-ISSN 0976-2833 | ISSN 0975-3583
 

Research Article 


Role of intracoronary adenosine on prevention of no reflow during Primary PCI in STEMI patients guided by MVO in CMR

Ahmed Hatata,Wael EL-Kilany, Ahmed Rezk, Tarek Zaki.

Abstract
Background:Microvascular obstruction (MO) or no-reflow phenomenon is an established complication of coronary
reperfusion therapy for acute myocardial infarction. It is increasingly recognized as a poor prognostic indicator and
marker of subsequent adverse LV remodeling. Microvascular obstruction (MO) or no-reflow phenomenon is an
established complication of coronary reperfusion therapy for acute myocardial infarction. It is increasingly
recognized as a poor prognostic indicator and marker of subsequent adverse LV remodeling.
Results:There was no significant difference between two groups regarding TIMI and MBG score .There was a
significant difference in myocardial salvage index and myocardium at risk with p value less than 0.001 . Yet no
increase in myocardial hemorrhage among the two groups . There was significant improvement in EF , LV mass
and LV volumes in those who were given adenosine .
Conclusion:Adenosine improves no reflow on giving as a prophylactic drug . It improves the microcirculation thus
increasing the salvaged myocardium improving micro vascular obstruction and does not increase the percentage of
microvascular hemorrhage

Key words: STEMI, Coronary no-reflow, MVO , MV HGE , Salvage Index, TIMI , MBG adenosine


 
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Pubmed Style

Ahmed Hatata ,Wael EL-Kilany , Ahmed Rezk , Tarek Zaki. Role of intracoronary adenosine on prevention of no reflow during Primary PCI in STEMI patients guided by MVO in CMR. J Cardiovasc. Dis. Res.. 2021; 12(5): 723-729. doi:0.31838/jcdr.2021.12.05.99


Web Style

Ahmed Hatata ,Wael EL-Kilany , Ahmed Rezk , Tarek Zaki. Role of intracoronary adenosine on prevention of no reflow during Primary PCI in STEMI patients guided by MVO in CMR. http://www.jcdronline.org/?mno=118469 [Access: August 31, 2021]. doi:0.31838/jcdr.2021.12.05.99


AMA (American Medical Association) Style

Ahmed Hatata ,Wael EL-Kilany , Ahmed Rezk , Tarek Zaki. Role of intracoronary adenosine on prevention of no reflow during Primary PCI in STEMI patients guided by MVO in CMR. J Cardiovasc. Dis. Res.. 2021; 12(5): 723-729. doi:0.31838/jcdr.2021.12.05.99



Vancouver/ICMJE Style

Ahmed Hatata ,Wael EL-Kilany , Ahmed Rezk , Tarek Zaki. Role of intracoronary adenosine on prevention of no reflow during Primary PCI in STEMI patients guided by MVO in CMR. J Cardiovasc. Dis. Res.. (2021), [cited August 31, 2021]; 12(5): 723-729. doi:0.31838/jcdr.2021.12.05.99



Harvard Style

Ahmed Hatata ,Wael EL-Kilany , Ahmed Rezk , Tarek Zaki (2021) Role of intracoronary adenosine on prevention of no reflow during Primary PCI in STEMI patients guided by MVO in CMR. J Cardiovasc. Dis. Res., 12 (5), 723-729. doi:0.31838/jcdr.2021.12.05.99



Turabian Style

Ahmed Hatata ,Wael EL-Kilany , Ahmed Rezk , Tarek Zaki. 2021. Role of intracoronary adenosine on prevention of no reflow during Primary PCI in STEMI patients guided by MVO in CMR. Journal of Cardiovascular Disease Research, 12 (5), 723-729. doi:0.31838/jcdr.2021.12.05.99



Chicago Style

Ahmed Hatata ,Wael EL-Kilany , Ahmed Rezk , Tarek Zaki. "Role of intracoronary adenosine on prevention of no reflow during Primary PCI in STEMI patients guided by MVO in CMR." Journal of Cardiovascular Disease Research 12 (2021), 723-729. doi:0.31838/jcdr.2021.12.05.99



MLA (The Modern Language Association) Style

Ahmed Hatata ,Wael EL-Kilany , Ahmed Rezk , Tarek Zaki. "Role of intracoronary adenosine on prevention of no reflow during Primary PCI in STEMI patients guided by MVO in CMR." Journal of Cardiovascular Disease Research 12.5 (2021), 723-729. Print. doi:0.31838/jcdr.2021.12.05.99



APA (American Psychological Association) Style

Ahmed Hatata ,Wael EL-Kilany , Ahmed Rezk , Tarek Zaki (2021) Role of intracoronary adenosine on prevention of no reflow during Primary PCI in STEMI patients guided by MVO in CMR. Journal of Cardiovascular Disease Research, 12 (5), 723-729. doi:0.31838/jcdr.2021.12.05.99





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